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|isbn=978-1-4160-6911-9
}}</ref> Roughly 90% of cases are the less serious distal hypospadias, in which the urethral opening (the [[Urinary meatus|meatus]]) is on or near the head of the [[Glans penis|penis glans]]. The remainder have proximal hypospadias, in which the meatus is all the way back on the shaft of the penis, near or within the [[scrotum]]. Shiny tissue that should have made the urethra extends from the meatus to the tip of the glans; this tissue is called the [[urethral plate]].
The prevalance of hypospadias is highest in North America and lowest in Asia.<ref name="vanderhorst2017>{{REFjournal
|last=van der Horst
|first=HJ
|author-link=
|last2=de Wall
|first2=HJ
|author2-link=
|etal=no
|title=Hypospadias, all there is to know
|trans-title=
|language=
|journal=Eur J Pediatr
|location=
|date=2017-04
|volume=176
|issue=4
|pages=435-41
|url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5352742/
|quote=
|pubmedID= 28190103
|pubmedCID=5352742
|DOI=10.1007/s00431-017-2864-5
|accessdate=2019-10-23
}}</ref> The foreskin frequently does not develop normally.
{{SEEALSO}}